One Good Thing

Improving the Work Experience at UCSF


Issue 196

To make our True North "Our People" efforts more visible at UCSF, this communication provides a highlight of one enhancement, story or tip intended to improve the work experience for clinicians and/or faculty at UCSF Health.


The Connected Leadership Program Components

Connected Leadership

Development Program


Validated tools such as “The Leadership Impact Index” have shown significant correlation between the behaviors of leadership and the likelihood of burnout and satisfaction among healthcare workers. The studies found that the behavior of an individual’s direct supervisor was the single largest driver of professional satisfaction, more so than the organization’s culture, high-level organizational strategy, salaries, benefits, efficiency of the practice environment, or the impact of the electronic health record.


In one study using multivariate analysis adjusting for age, sex, duration of employment, and specialty, each 1-point increase in composite leadership score was associated with a 3.3% decrease in the likelihood of burnout and a 9.0% increase in the likelihood of satisfaction of those supervised. Furthermore, burnout, professional fulfillment, and self-care practices of physician leaders have been associated with their independently assessed leadership effectiveness. In longitudinal study, these relationships persist 2 years later.


Meanwhile, clinical leaders do not routinely receive standardized leadership training or assessment and feedback, and often feel left to learn these "people leadership" competencies on the fly by trial and error. A deliberate approach to support leaders in their own well-being and to hone their "people leadership" skills is an important piece of an organizational approach to improving well-being for our clinicians and staff overall.


Inspired by these data and the article Wellness Centered Leadership: Equipping Health Care Leaders to Cultivate Physician Well-Being and Professional Fulfillment by Tait Shanafelt, et. al., we are launching a pilot program called Connected Leadership: Developing Yourself to Support a Culture of Well-being.


Applications are now open for clinical leaders in School of Medicine departments at the level of Site Chief, Chief of Service, Division Chief, Vice Chair, Associate Chair, Section Chief, Medical Director, Chair or equivalent role across any clinical site (UCSF Health, SFVA, ZSFG).


Leaders may self nominate using this link or be nominated by their Department Chair by March 30th, 2023.


The program emphasizes personal awareness through anonymous feedback from people in one's group and development of competencies and skills tailored to one's individual data. Participants will access 1 of 3 different interventions (self directed, 1:1 coaching, or a group cohort experience) in this pilot program starting in July 2023. Applicants will be notified by the end of April regarding participation in the program.


You may be asked to provide anonymous feedback to those who participate in the program in the next few months, and we hope you will take time to do so.


Questions may be directed to Diane.Sliwka@ucsf.edu.


Thank you to Starr Knight, Josue Zapata, Maria Estrada, Larissa Thomas, and Liz Rogers for helping to design this initiative. Thank you also the office of the EVCP and School of Medicine leadership for supporting this with strategic initiative funds.

The Annual Physician/Provider Work Experience (NPS) Survey for UCSF School of Medicine will launch the week of March 20th, 2023 for physicians and School of Medicine clinicians across UCSF Health, ZSFG, and the SF VA systems. Look out for an individual email invitation to take the survey that week.


After completing this year's survey, UCSF Health clinicians will also have the opportunity to do an optional focused survey regarding the EPIC experience to further focus our clinician improvement efforts related to the EPIC EMR system.

Past Issues:

View All Archived Issues

155: Standard Breaks Between Meetings

156: What Is Happening in Our Nervous Systems?

157: The 7 Types of Rest We All Need

158: What is Justice?

159: Need A UCSF Zoom Background?

160: The Tension of Sharing Only "Good" Things

161: Share Your Improvement Work

162: Improvements in Dependent Care Flexible Spending Accounts

163: Support for Lactation at Work

164: Celebrating PRIDE Month

165: Reducing the Demand

166: Chancellor's Funds to Support Your Work

167: Finding Community: The Miller Davis Jenkins Society

168: Valuing Medical Advice Messages

169: Support for Faculty Advancement in the COVID Era

170: APeX Tips 1: Edit Multiple Orders and Review Summary Reports

171: On-Demand Visits

172: APex Tips 2: Smart Phrases and Chart Review Filters

173: Surge Related Resources to Support Our People

174: Black History Month

175: Sponsorship at UCSF

176: Celebrating Thank a Resident/Fellow Day

177: Honoring International Women's Day

178: 2022 COVID Relief Funds, A New President and CEO, and Parking Improvements

179: Public Service Loan Forgiveness

180: APeX Tips 3: Addending Closed Encounters and Retrieving Messages

181: "Good Reviews" from Patients

182: Managing Our Energy

183: How to Have Influence On Twitter

184: Patient Perspectives On Our Culture

185: Resources for Discriminatory Behavior From Patients

186: My Chart Message Routing To Help With In Basket

187: Spanish Translation of Patient Medical Advice Messages

188: Easier Ways to Clear In Basket Results and Save Results for Later

189: Parking Improvements and FAQs

190: Enhanced Fertility Benefits

191: UCSF Health Special Recognition Payment

192: Everything is Waiting For You

193: Breathing Spaces Racial Affinity Groups

194: Conversation with Dr. Tait Shanafelt on Clinician Burnout

195: Group Coaching for Women Physicians/Clinicians



Submit a One Good Thing Idea to Diane Sliwka, MD, Chief Physician Experience Officer at

UCSF Health.